CKD Knowledge and CKD Report Card Use During a Nephrology Encounter: A Randomized Trial
Rationale & Objective: Higher chronic kidney disease (CKD) knowledge and health literacy (HL) are associated with improved CKD outcomes. We sought to determine if the CKD Report Card intervention increased CKD knowledge in patients regardless of HL level. Study Design: A block-randomized tri...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-05-01
|
| Series: | Kidney Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590059525000275 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850201091490185216 |
|---|---|
| author | Jillian Bowman Christina Zhou Lindsay Zasadzinski Mengqi Zhu Milda R. Saunders |
| author_facet | Jillian Bowman Christina Zhou Lindsay Zasadzinski Mengqi Zhu Milda R. Saunders |
| author_sort | Jillian Bowman |
| collection | DOAJ |
| description | Rationale & Objective: Higher chronic kidney disease (CKD) knowledge and health literacy (HL) are associated with improved CKD outcomes. We sought to determine if the CKD Report Card intervention increased CKD knowledge in patients regardless of HL level. Study Design: A block-randomized trial by clinic session. Setting & Participants: Patients with CKD 3 or above in an urban academic nephrology clinic. Intervention: The intervention group received the CKD Report Card, a 2-sided information sheet, before the clinic visit. Outcomes: Kidney Knowledge Survey pre–post-visit score change. Results: Of 91 participants, the average age was 66.2 years, 64.8% identified as African American, 41.8% were male, and 11.0% had inadequate HL. The control group’s (n = 53) mean pre-visit knowledge score was 55.8% with a post–pre-score change of 0.9 (95% confidence intervals [CI], −1.3 to 3.2). The intervention group’s (n = 38) mean pre-visit score was 60.2% with a score change of 19.2 (95% CI, 15.2-23.3). The difference in score change between the control group and intervention group was −18.4 (95% CI, −22.6 to −14.1). In addition, there was no significant difference in knowledge gained by adequate and inadequate HL for the control group (P = 0.6) or the intervention group (P = 0.6). In the fully adjusted multivariable model, the HL × group interaction term was not significant (β = −6.1; P = 0.4). Pre-visit score (β = −0.2; P < 0.01) and intervention group (β = 19.0; P < 0.001) were significant. Limitations: Limited generalizability because the study took place at 1 academic medical center and there were only a small proportion of patients with inadequate HL. Conclusions: The CKD Report Card is a low-touch, low-cost intervention that improved CKD knowledge for all patients in our urban nephrology clinic regardless of HL level. |
| format | Article |
| id | doaj-art-202772ddfeb34e098624fbffe3ff9a34 |
| institution | OA Journals |
| issn | 2590-0595 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Kidney Medicine |
| spelling | doaj-art-202772ddfeb34e098624fbffe3ff9a342025-08-20T02:12:07ZengElsevierKidney Medicine2590-05952025-05-017510099110.1016/j.xkme.2025.100991CKD Knowledge and CKD Report Card Use During a Nephrology Encounter: A Randomized TrialJillian Bowman0Christina Zhou1Lindsay Zasadzinski2Mengqi Zhu3Milda R. Saunders4Pritzker School of Medicine, University of Chicago Medicine, Chicago, ILPediatrics, University of Chicago Medicine, Chicago, ILMedicine, University of Chicago Medicine, Chicago, ILMedicine, University of Chicago Medicine, Chicago, ILPritzker School of Medicine, University of Chicago Medicine, Chicago, IL; Medicine, University of Chicago Medicine, Chicago, IL; Address for Correspondence: Milda Saunders, MD, MPH, General Internal Medicine, University of Chicago Medicine, 5841 S Maryland Ave, 2007, Chicago, IL 60637.Rationale & Objective: Higher chronic kidney disease (CKD) knowledge and health literacy (HL) are associated with improved CKD outcomes. We sought to determine if the CKD Report Card intervention increased CKD knowledge in patients regardless of HL level. Study Design: A block-randomized trial by clinic session. Setting & Participants: Patients with CKD 3 or above in an urban academic nephrology clinic. Intervention: The intervention group received the CKD Report Card, a 2-sided information sheet, before the clinic visit. Outcomes: Kidney Knowledge Survey pre–post-visit score change. Results: Of 91 participants, the average age was 66.2 years, 64.8% identified as African American, 41.8% were male, and 11.0% had inadequate HL. The control group’s (n = 53) mean pre-visit knowledge score was 55.8% with a post–pre-score change of 0.9 (95% confidence intervals [CI], −1.3 to 3.2). The intervention group’s (n = 38) mean pre-visit score was 60.2% with a score change of 19.2 (95% CI, 15.2-23.3). The difference in score change between the control group and intervention group was −18.4 (95% CI, −22.6 to −14.1). In addition, there was no significant difference in knowledge gained by adequate and inadequate HL for the control group (P = 0.6) or the intervention group (P = 0.6). In the fully adjusted multivariable model, the HL × group interaction term was not significant (β = −6.1; P = 0.4). Pre-visit score (β = −0.2; P < 0.01) and intervention group (β = 19.0; P < 0.001) were significant. Limitations: Limited generalizability because the study took place at 1 academic medical center and there were only a small proportion of patients with inadequate HL. Conclusions: The CKD Report Card is a low-touch, low-cost intervention that improved CKD knowledge for all patients in our urban nephrology clinic regardless of HL level.http://www.sciencedirect.com/science/article/pii/S2590059525000275Chronic kidney diseaseCKD Report Cardhealth literacypatient education |
| spellingShingle | Jillian Bowman Christina Zhou Lindsay Zasadzinski Mengqi Zhu Milda R. Saunders CKD Knowledge and CKD Report Card Use During a Nephrology Encounter: A Randomized Trial Kidney Medicine Chronic kidney disease CKD Report Card health literacy patient education |
| title | CKD Knowledge and CKD Report Card Use During a Nephrology Encounter: A Randomized Trial |
| title_full | CKD Knowledge and CKD Report Card Use During a Nephrology Encounter: A Randomized Trial |
| title_fullStr | CKD Knowledge and CKD Report Card Use During a Nephrology Encounter: A Randomized Trial |
| title_full_unstemmed | CKD Knowledge and CKD Report Card Use During a Nephrology Encounter: A Randomized Trial |
| title_short | CKD Knowledge and CKD Report Card Use During a Nephrology Encounter: A Randomized Trial |
| title_sort | ckd knowledge and ckd report card use during a nephrology encounter a randomized trial |
| topic | Chronic kidney disease CKD Report Card health literacy patient education |
| url | http://www.sciencedirect.com/science/article/pii/S2590059525000275 |
| work_keys_str_mv | AT jillianbowman ckdknowledgeandckdreportcarduseduringanephrologyencounterarandomizedtrial AT christinazhou ckdknowledgeandckdreportcarduseduringanephrologyencounterarandomizedtrial AT lindsayzasadzinski ckdknowledgeandckdreportcarduseduringanephrologyencounterarandomizedtrial AT mengqizhu ckdknowledgeandckdreportcarduseduringanephrologyencounterarandomizedtrial AT mildarsaunders ckdknowledgeandckdreportcarduseduringanephrologyencounterarandomizedtrial |